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Journal of Aging and Health
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Problems Meeting Basic Needs Predict Cognitive Decline in Community-Dwelling Hispanic Older Adults

Natalie Sachs-Ericsson, PhD

Florida State University, Tallahassee

Elizabeth Corsentino, BA

Florida State University, Tallahassee

Jesse R. Cougle, PhD

Florida State University, Tallahassee

Objectives: Indices of low socioeconomic status (SES) have been found to predict negative health outcomes. However, problems meeting basic needs (e.g., not having enough money for health care, adequate food, etc.) may be a more potent measure of negative health outcomes than other more typically assessed indices of SES, such as income. This article examined the association between problems meeting basic needs and cognitive decline in a sample of community-dwelling Hispanic older adults (N = 1,964). Method: The authors used a prospective design to study the influence of problems meeting basic needs on cognitive functioning. Analyses controlled for demographics, health problems, and depressive symptoms. Results: The authors found problems meeting basic needs to be a more potent predictor of cognitive decline than income. Discussion: Interventions focused on providing older adults with resources for meeting basic needs, such as adequate food and health care, may substantially reduce the subsequent level of stress and health problems in this population.

Key Words: cognitive decline • basic needs • Hispanics • elderly

This version was published on September 1, 2009

Journal of Aging and Health, Vol. 21, No. 6, 848-863 (2009)
DOI: 10.1177/0898264309340689
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